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NHSN Annual Update:
Antimicrobial-Resistant Pathogens Associated With Healthcare-Associated Infections

Annual Summary of Data Reported to the National Healthcare Safety Network at the Centers for Disease Control and Prevention, 2006–2007

Antimicrobial-resistant pathogens that cause healthcare-associated infections (HAIs) pose an ongoing and increasing challenge to hospitals, both in the clinical treatment of patients and in the prevention of the cross-transmission of these problematic pathogens.  Describing the magnitude of the problem with respect to these antimicrobial-resistant pathogens is challenging, because the levels of antimicrobial resistance vary for different types of healthcare facilities and for different geographic areas, and some resistance phenotypes are difficult for laboratories to detect. However, the findings from such attempts may help the infection control and public health communities target problems and utilize resources more efficiently.

In the News

Featured in The Times
"Ireland 'losing war' on superbug" February 15, 2009
Challenges of Implementing National Guidelines for the Control and Prevention of Methicillin‐Resistant Staphylococcus aureus Colonization or Infection in Acute Care Hospitals in the Republic of Ireland
Fidelma Fitzpatrick, MD; Fiona Roche, PhD; Robert Cunney, MB; Hilary Humphreys, MD; Strategy for the Control of Antimicrobial Resistance in Ireland Infection Control Subcommittee
The research, published in Infection Control and Hospital Epidemiology, found one third of hospitals did not have a written policy on antibiotic use, and only 35% had an antibiotic stewardship programme.

October 2007

Volume 28, Number 10
Infect Control Hosp Epidemiol 2007;28:1206–1209
0899-823X/2007/2810-0014$15.00
DOI: 10.1086/520746
Concise Communication

Emergence of Staphylococcal Cassette Chromosome mec Type IV Methicillin‐Resistant Staphylococcus aureus as a Cause of Ventilator‐Associated Pneumonia

D. Neofytos, MD;

B. Kuhn, MD;

S. Shen, MD;

X. Hua Zhu, MD;

D. Jungkind, PhD;

P. Flomenberg, MD

From the Divisions of Infectious Diseases and Environmental Medicine (D.N., P.F.) and Microbiology (B.K., S.S.), Thomas Jefferson University, Philadelphia, Pennsylvania.

Staphylococcal cassette chromosome mec (SCCmec) type IV methicillin‐resistant Staphylococcus aureus (MRSA) strains were identified in 8 (19.5%) of 41 consecutive patients with MRSA ventilator‐associated pneumonia (VAP) in this retrospective, observational study. There were no significant differences in VAP severity and crude mortality rates between patients with SCCmec type II strains and patients with SCCmec type IV strains.

Received March 13, 2007; accepted May 14, 2007; electronically published August 29, 2007.

Address reprint requests to Dionissios Neofytos, MD, Division of Infectious Diseases and Environmental Medicine, Thomas Jefferson University, 125 South 9th Street, Suite 403, Philadelphia, PA 19107 ().

Cited by

Evelina Tacconelli, Giulia De Angelis. (2009) Pneumonia due to methicillin-resistant Staphylococcus aureus: clinical features, diagnosis and management. Current Opinion in Pulmonary Medicine 15:3, 218-222
Online publication date: 1-Jun-2009.
CrossRef
  • Presented in part: 44th Annual Meeting of the Infectious Disease Society of America; Toronto, Canada; October 2006 (Poster 239).

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